VahidNaghashi/gemma4-medpix-lora
Visual Question Answering • Updated
image_id imagewidth (px) 96 512 | mode stringclasses 2
values | case_id stringclasses 636
values | question stringlengths 20 244 | answer stringlengths 4 10.2k |
|---|---|---|---|---|
alignment | MPX1686 | How does the interhemispheric fissure appear in this image? | The anterior interhemispheric fissure is partially formed, but the rest of the fissure is not visible. | |
from caption | MPX1124 | How does the patient history play a role? | The patient's history of 42 y.o. combat fighter pilot c/o "blind spot" - sudden onset six days ago and lasted about four hours. Previous Hx of a similar episode several years ago. is key in understanding the case. | |
alignment | MPX1320 | Can you explain why the post-contrast images did not show enhancement? | The reason for no enhancement on the post-contrast images may be due to the nature of the lesion being a glioma, which typically does not enhance with contrast. | |
from caption | MPX2158 | Talk about the condition: | The disease is discussed as: Chondrosarcoma encompasses 20-25% of all bone sarcomas and is the second most frequent malignant bone tumor of the spine after chordoma (3-12% arise in the spine). The average age of onset is in the adult between the ages of 40- 60 with a greater predisposition for men. The distribution i... | |
from caption | MPX1686 | What are the imaging findings? | The imaging shows This patient has agenesis of the corpus callosum. The posterior fossa is small, with a normally formed cerebellum, which is compressed inferiorly, and the 4th ventricle and cerebral aqueduct are patent. The globes maintain cross-midline symmetry, and hypotelorism is noted. The optic tracts are norm... | |
from caption | MPX1124 | What appears to be the issue? | The findings suggest • Lateral geniculate body - abnormal signal and enhancement
• Additional periventricular lesions. Lesion in the lateral geniculate body. The patient might have a history of 42 y.o. combat fighter pilot c/o "blind spot" - sudden onset six days ago and lasted about four hours. Previous Hx of a si... | |
alignment | MPX1941 | How does the presence of an ICA aneurysm affect the patient's condition? | The presence of an ICA aneurysm contributes to the overall complexity of the carotid cavernous fistula, as it drains into the cavernous sinus and affects surrounding blood vessels, making treatment more challenging. | |
alignment | MPX1410 | What is the primary finding in this MRI scan? | Symmetric severe dilation of the third and lateral ventricles. | |
from caption | MPX1967 | What could the diagnosis suggest? | The possible diagnosis includes free fragment
synovial cyst. | |
alignment | MPX1523 | What is the main finding in this CT scan of the left kidney? | The CT scan shows a segmental area of decreased enhancement with a thin cortical rim enhancement. | |
from caption | MPX2442 | Talk about the condition: | The disease is discussed as: Celiac trunk, abdominal aorta, & the iliac arteries are all prone to get aneurysms and may all develop over time together.
An aneurysm is a focal dilation of a arterial vasculature with regard to the primary or adjacent artery. In the abdomen the most typical aneurysm is an abdominal aorti... | |
from caption | MPX1984 | What was observed in the imaging? | The imaging shows • Lung parenchyma - no masses or airspace disease.
• Bilaterally, numerous calcified pleural plaques along thoracic cage and diaphragmatic surfaces.
• Small rectangular scattered non-calcified pleural thickenings are also observed.
• There is no mediastinal, hilar or axillary lymphadenopathy.... | |
alignment | MPX2455 | What type of complications can arise from an osteochondroma? | Besides bursal inflammation, pathologic fracture, and malignant transformation, osteochondromas may cause vascular and neurological complications and osseous deformities due to displacement or compression of adjacent structures. | |
from caption | MPX1130 | In what way does the history help explain the case? | The patient's history of G1P0A1L0 with 6-7 episodes abnormal menstrual bleeding, FMH included Pt's mother took DES is key in understanding the case. | |
from caption | MPX1549 | Explain the disease: | The disease is discussed as: Craniosynostosis is the early fusion of one or more of the cranial sutures. The incidence of craniosynostosis in newborns is approximately .4 per 1000; and, less than 10% involve the metopic suture. Metopic craniosynostosis usually only has cosmetic consequences, and the patients usually... | |
alignment | MPX1387 | What is the likely diagnosis for the multiloculated intra- and extra-axial posterior fossa mass in this 21-month-old patient? | The findings suggest that the mass is most consistent with a congenital process such as dermoid which has become secondarily infected, specifically an infected dermoid cyst. | |
from caption | MPX2021 | What appears to be the issue? | The findings suggest Lipoma at level L2 and Filum terminale.
Cord rotated with fibrous band posteriorly at L2-3.. A lipoma with chemical shift artifact and fibrous attachment to cord is present at L23 along with a second lipoma of the filum terminale.. The patient might have a history of 17 Year old who at age 10 under... | |
from caption | MPX1205 | How does the patient history play a role? | The patient's history of 58 y/o female with past medical history of diabetes and hypertension presents with 4 day history of right sided numbness and tingling. is key in understanding the case. | |
alignment | MPX2314 | What type of cancer is depicted in the CT scan image? | The image shows a malignant embryonal rhabdomyosarcoma, a rare and aggressive form of soft tissue sarcoma. | |
alignment | MPX1034 | According to the epithelial rest theory, what are the origins of ectodermal implants found between the first branchial cleft and pouch in a 10-week-old fetus? | These ectodermal implants have an unknown function and typically resorb at 33 weeks gestation; if they persist, they may form a chronic cholesteatoma. | |
alignment | MPX1086 | Where is the solid mass located in the brain? | The solid mass is located in the left cerebellar hemisphere. | |
from caption | MPX1502 | How is the history relevant to the case? | The patient's history of 20 year-old female with a history of diplopia presents to the emergency department. is key in understanding the case. | |
alignment | MPX2064 | What is the typical presentation or symptoms of pneumopericardium that healthcare providers would look for? | Patients with pneumopericardium may present with chest pain as a potential symptom, especially if no trauma is present; it's essential to recognize this condition early on to prevent complications. | |
alignment | MPX1170 | How does the patient's altered mental status relate to their symptoms? | The patient's altered mental status may be related to increased intracranial pressure or potential compression of critical brain structures due to the hemorrhage. | |
from caption | MPX2347 | What is the suspected problem? | The findings suggest Chest radiograph demonstrates branching opacity in a bronchovascular distribution in the right middle lobe.
Review of prior imaging demonstrates presence of a Vein of Galen Malformation (VOM) with recent embolization treatment with Onyx. Multiple serpentine flow voids seen on MRI. Angiogram confirm... | |
alignment | MPX2384 | What is methanol poisoning? | Methanol poisoning is an uncommon but extremely hazardous intoxication caused by the ingestion of methanol, a versatile fuel. | |
alignment | MPX2183 | What is the clinical presentation of a patient with rectovaginal fistula? | A 71-year-old female presenting with feces per vagina, indicating the presence of a fistulous communication between the rectum and vagina. | |
from caption | MPX1213 | What are the imaging findings? | The imaging shows • The sulci and ventricles are not visible.
• There is high attenuation on the surface of the brain.
• The suprasellar cistern shows visible CSF - but high attenuation linear material There is diffuse swelling of the brain, very symmetric, with effacement of sulci and ventricles. There appears to ... | |
alignment | MPX1317 | What was the diagnosis given for this patient's condition? | The diagnosis given was early appendicitis. | |
from caption | MPX1384 | Talk about the condition: | The disease is discussed as: Multiple myeloma is a plasma cell neoplasm that is characterized by involvement of the skeletal system in multiple sites. It accounts for 1% of all malignancies and is most prevalent in the 70-80 year old range. Symptoms include bone pain, anemia, fever, weight loss, and weakness, as well... | |
alignment | MPX1998 | According to the case information, what is a common feature in patients with Tuberous Sclerosis? | Renal angiomyolipomas, which are fatty-containing masses. | |
from caption | MPX1084 | What is the suspected problem? | The findings suggest Axial T1W images demonstrate ill-defined increased signal in posterior tissues of left globe and left retro-ocular tissues
Axial contrast-enhanced fat saturated T1W images demonstrate
enhancement and thickening of the posterior wall of the left globe and left retro-ocular tissues
Axial T2W images d... | |
alignment | MPX2065 | What is the Spetzler-Martin grade of this AVM? | The Spetzler-Martin grade of this AVM is 4, indicating a high-risk lesion. | |
from caption | MPX1950 | Explain the disease: | The disease is discussed as: Duplicated renal collecting systems represent renal units with two distinct pyelocalyceal systems associated with either a single or double ureter. In the case of two distinct ureters, the ureters either join together along their course and form a single ureter, or they both insert individ... | |
from caption | MPX1576 | Describe the condition in detail: | The disease is discussed as: The dilation of the wall of an artery, vein, or the heart, that forms a sac-like structure.
For image, see: http://rad.usuhs.mil/rad/radbrowser2/head/PlainFilm/zzsaneur.html | |
alignment | MPX2335 | How does the behavior of an adrenal adenoma compare to metastatic lesions in terms of enhancement and washout after contrast administration? | Adrenal adenomas avidly enhance with rapid washout, whereas metastatic lesions show delayed enhancement and slower washout. | |
alignment | MPX1191 | Q1: What is the primary diagnosis of this patient? | A1: The patient has hepatocellular carcinoma with extension to the right atrium. | |
alignment | MPX1139 | What are the symptoms and signs of acute appendicitis as described in this case? | The patient presented with acute onset lower abdominal pain, fever, nausea, vomiting, rebound tenderness, guarding, and an elevated white blood cell count. | |
from caption | MPX1256 | What are the imaging findings? | The imaging shows Skull Series: There is a small lesion adjacent to the right frontal sinus measuring 2.6 x 1.5 cm in size. This lesion has a partially sclerotic margin and no other significant osseous abnormality is seen.
CT: There is an expansile intra-osseous lesion, measuring approximately 3.1 x 1.3 cm, in the r... | |
from caption | MPX2347 | What could the diagnosis suggest? | The possible diagnosis includes Without the provided history, this radiographic finding is concerning for aspiration of contrast or other radio-opaque material.. | |
alignment | MPX2027 | What is the typical imaging appearance of choroidal melanoma on unenhanced CT scans? | These lesions appear elevated, hyperdense, are sharply marginated, and following contrast administration avidly enhance. | |
alignment | MPX1879 | What are some possible differential diagnoses for this type of lesion? | Meningioma, lymphoma, hemangiopericytoma, metastatic carcinoma, inflammatory lesions such as sarcoidosis and Wegener's granulomatosis, and infections such as tuberculosis. | |
alignment | MPX1193 | What is a characteristic imaging feature of a thyroglossal duct cyst? | A characteristic imaging feature of a thyroglossal duct cyst is a well-defined hypodense lesion with internal fluid attenuation, often imbedded within the strap muscles. | |
alignment | MPX1300 | What are some possible causes of omental torsion, as mentioned in the disease discussion? | Possible causes include an accessory omentum, bifid omentum, irregular accumulations of omental fat in obese individuals, and a narrowed omental pedicle. | |
from caption | MPX2322 | What might the diagnosis be? | The possible diagnosis includes Arachnoid cyst
Epidermoid cyst
Dermoid cyst
Parasitic cyst
Cystic glioma
Chronic Hematoma. | |
alignment | MPX2064 | How does pneumopericardium typically occur in patients with trauma? | Pneumopericardium is often associated with existing pneumothorax or pneumomediastinum in patients with traumatic injuries, such as gun shot wounds to the chest. | |
alignment | MPX1755 | What are the common causes of constrictive pericardial disease, as mentioned in the case discussion? | The most common cause is postpericardiotomy and hemopericardium for any reason, followed by radiation therapy, Coxsackie B virus, TB, uremia, connective tissue disease, neoplasm, and idiopathic etiologies. | |
from caption | MPX2046 | What is the potential diagnosis? | The possible diagnosis includes 1. Discitis/osteomyelitis
2. Pott's Disease
3. DJD
4. Metastatic cancer. | |
from caption | MPX2094 | How is the history relevant to the case? | The patient's history of 45 year old male with recent diagnosis of gastric carcinoma undergoing staging CT. is key in understanding the case. | |
from caption | MPX1346 | What is the potential diagnosis? | The possible diagnosis includes Pseudocyst, Serous cystadenoma, Mucinous cystadenoma/ cystadenocarcinoma, IPMT - Branch Type. | |
alignment | MPX1796 | According to the treatment & follow-up section, what is the recommended treatment for intracranial epidermoid tumors? | Surgical resection with radical removal of the tumor capsule. | |
from caption | MPX1473 | What is the potential diagnosis? | The possible diagnosis includes Usual Interstitial Pneumonia, Non-specific Interstitial Pneumonia, Rheumatoid lung dz, Chronic Hypersensitivity Pneumonitis. | |
alignment | MPX1435 | What is the typical behavior of a developmental venous anomaly (DVA) in terms of symptoms? | They are typically asymptomatic, with patients often having no symptoms or unrelated symptoms. | |
alignment | MPX1384 | How does the etiology of multiple myeloma relate to occupational exposure? | There is an increased incidence among petroleum, leather, and cosmetology workers, as well as those exposed to radiation, herbicides, insecticides, heavy metals, plastics, and asbestos. | |
alignment | MPX1690 | What is a common cause of vertebral artery dissection? | A common cause of vertebral artery dissection is trauma or external neck manipulation, although it can also occur spontaneously. | |
from caption | MPX2018 | What is the main concern? | The findings suggest Plain film: film shows anatomic alignment without fracture. Ill-defined sclerosis is seen in the lateral aspect of the metadiaphysis of the proximal tibia. Osteophytosis is seen in the medial femoral condyle and patella.
NM scan (25.3 mCi of Tc-99m MDP IV): There is moderate, focal uptake in the ... | |
alignment | MPX1084 | What is the initial impression from the axial T2W images at this level? | The initial inspection demonstrates no abnormality. | |
from caption | MPX2229 | Describe the condition in detail: | The disease is discussed as: Pulmonary sequestrations are masses of pulmonary parenchyma which do not communicate with the central airways through a normal bronchial connection, if at all. In addition, their blood supply is from the systemic circulation. Demonstrating the feeding systemic arterial vessels is the key ... | |
alignment | MPX1297 | How do Killian-Jamieson diverticula differ from Zenker's diverticulum in terms of their location and relation to the cricopharyngeus muscle? | Killian-Jamieson diverticula are located on the lateral wall of the cervical esophagus, while Zenker's diverticulum originates on the posterior wall of the pharyngoesophageal segment in a midline area. | |
alignment | MPX1172 | What are the radiographic signs of small bowel obstruction that were observed in this case? | The patient had dilated loops of small bowel with prominent air fluid levels on flat and upright abdominal films, indicating a mechanical blockage of the small intestine. | |
alignment | MPX2433 | What are some common causes of scleral plaques besides orbital calcifications? | Systemic hypercalcemic states such as hyperparathyroidism, hypervitaminosis D, sarcoidosis, chronic renal disease. | |
from caption | MPX1788 | What might the diagnosis be? | The possible diagnosis includes Alzheimer disease, frontal and temporal dementia, HIV and HSV encephalitis, hydrocephalus, metabolic disorders, multi-infarct dementia, diffuse Lewey body disease, Hashimoto encephalopathy.. | |
alignment | MPX1141 | Q2: What are some potential differential diagnoses for the lesion in question? | A2: Some potential differential diagnoses include Meningioma, PXA (Pleomorphic Xanthoastrocytoma), Metastatic disease, and AVM (Arteriovenous Malformation). | |
alignment | MPX1574 | How does the administration of intra-articular gadolinium help in diagnosing a SLAP lesion on MR imaging? | It clearly demonstrates the abnormal signal extension into the substance of the triangle, which represents a SLAP lesion. | |
alignment | MPX2195 | What is unique about the venous drainage pattern in this patient's AVM? | The MRI demonstrates multiple flow voids in the right cerebellum, indicating a complex network of abnormal vascular channels without intervening capillaries, which may have an impact on venous drainage. | |
from caption | MPX1892 | How is the history relevant to the case? | The patient's history of History (can include gestational age, or age in days, weeks, months):
70 y/o female for follow up CT scan to monitor for any pulmonary changes due to a recent 15lb weight loss, otherwise asymptomatic. is key in understanding the case. | |
alignment | MPX1016 | How does stage IV disease in adenocarcinoma of the lung get managed? | Stage IV disease is primarily managed with chemotherapy or with palliative measures for symptomatic relief. | |
alignment | MPX2466 | What are the potential complications of untreated PAVMs in patients with HHT? | Untreated PAVMs can lead to severe complications such as paradoxical embolization causing stroke, brain abscess, TIAs, pulmonary hemorrhage, and other serious cardiovascular events. | |
alignment | MPX2295 | What are the primary complications associated with large or symptomatic Angiomyolipomas? | The primary complications associated with large or symptomatic Angiomyolipomas include spontaneous hemorrhage, extension into the inferior vena cava, and spread to local lymph nodes without progression to malignancy. | |
from caption | MPX2297 | What might the diagnosis be? | The possible diagnosis includes Malrotation with partial volvulus
Omental hernia
Partial sbo from adhensions. | |
alignment | MPX1576 | How was the treatment of this particular berry aneurysm documented? | The aneurysm was coiled soon after discovery, with interval imaging confirming resolution for three years post-coiling. | |
alignment | MPX1202 | Where are the areas of restricted diffusion located according to the MRI findings? | The areas of restricted diffusion are located in the right temporal lobe and two in the right posterior frontal lobe. | |
from caption | MPX2094 | How is the history relevant to the case? | The patient's history of 45 year old male with recent diagnosis of gastric carcinoma undergoing staging CT. is key in understanding the case. | |
alignment | MPX2580 | How does the patient's symptoms relate to the mass effect of the tumor? | The patient's symptoms, such as gait disturbance and cranial neuropathies, are secondary to the mass effect of the tumor on adjacent structures. | |
from caption | MPX1130 | What might the diagnosis be? | The possible diagnosis includes complete bicornuate, incomplete bicornuate, infertility. | |
alignment | MPX2142 | What is the primary location of the tumor described in the post-Gad T1WI image? | The tumor is located centrally over the planum sphenoidale. | |
from caption | MPX1397 | In what way does the history help explain the case? | The patient's history of 27 year old woman presenting to the emergency room with the worst headache of her life. is key in understanding the case. | |
alignment | MPX2501 | What is the abnormality in the right kidney's contour? | The right kidney has a lobular contour. | |
from caption | MPX1631 | How does the patient history play a role? | The patient's history of 54 year-old male with recurrent abdominal pain and diarrhea. is key in understanding the case. | |
alignment | MPX2022 | What is the prognosis for patients with diffuse anaplasia in their Wilms tumor? | The prognosis for patients with diffuse anaplasia in their Wilms tumor is less favorable, with a poorer outcome compared to those without this histologic characteristic. | |
alignment | MPX2330 | What organisms are commonly grown from retropharyngeal abscesses? | The most common organisms grown from these abscesses are Group A Beta-hemolytic streptococci, Staphylococcus aureus, and Hemophilus influenza. | |
alignment | MPX2479 | What are the three classifications of bronchiectasis on HRCT? | The three classifications are cylindrical (bronchi with fusiform dilation and lack of tapering), varicose (more dilated bronchi with constrictions), and cystic (thick-walled saccular dilatations with air-fluid levels). | |
alignment | MPX2563 | What is the clinical significance of the loss of T2 signal related flow void of the right vertebral artery in the paramedullary cistern? | The loss of flow void indicates occlusion or compromise of the vessel, which can lead to ischemia or infarction of the surrounding brain tissue. | |
from caption | MPX1481 | Describe the condition in detail: | The disease is discussed as: • most common congenital vascular anomaly of the aortic arch
• with the anterior aorta, the ARSA creates a vascular ring around the mediastinal structures, including the trachea and esophagus
• most often asymptomatic
• may cause wheezy or stridorous breathing; usually picked-up by 2 ye... | |
from caption | MPX2367 | How does the patient history play a role? | The patient's history of 42 yo man presents with onset of right shoulder pain for two years, combined with right upper extremity numbness and tingling. is key in understanding the case. | |
from caption | MPX2195 | What could the diagnosis suggest? | The possible diagnosis includes Differential Diagnosis not available. | |
alignment | MPX2019 | Which part of the knee is typically involved in SONK? | The medial femoral condyle, but it can also affect the lateral femoral condyle or the tibial plateaus. | |
alignment | MPX1952 | What is the estimated patient prevalence of Multiple Sclerosis in the United States? | 250,000 to 350,000. | |
alignment | MPX1268 | How common is technical failure due to these factors? | Technical failure occurs in approximately 20% of cases. | |
alignment | MPX1507 | What type of viral infections does CMV belong to, according to the TORCH group? | CMV belongs to the TORCH group which includes toxoplasmosis, other-varicella, rubella, herpes simplex and HIV. | |
alignment | MPX1643 | How does the mass appear to enhance on Axial T1 postgadolinium with fat saturation as shown in Film #4? | The mass enhances intensely but only slightly inhomogeneously. | |
alignment | MPX2601 | What is the main finding described in the axial CT images? | Mild smooth thickening of the interatrial septum with diffuse fat attenuation. | |
alignment | MPX1214 | How does the appearance of an Endolymphatic Sac Tumor on imaging studies relate to its histological characteristics? | The tumor typically shows contrast enhancement and may contain blood products that produce characteristic regions of hyperintensity on T1-weighted images and hypointensity on T2-weighted images, which can be related to its capillary configuration and hemorrhagic fluid. | |
alignment | MPX2563 | How long ago did the patient experience the initial cervical chiropractic treatment? | Four months prior to imaging, following a second cervical chiropractic treatment 15 days later. | |
alignment | MPX1434 | How does the appearance of chordoid glioma on MRI differ from its appearance on CT imaging? | On MRI, chordoid gliomas are typically isointense to gray matter on T1-weighted images, while they appear hyperdense on CT scans. They also enhance homogeneously after contrast administration on MRI. | |
from caption | MPX1796 | What is the potential diagnosis? | The possible diagnosis includes • Epidermoid tumor
• Arachnoid cyst
• Dermoid tumor
• Acoustic neuroma (Vestibular Schwannoma)
• Malignancy. | |
alignment | MPX1366 | What is the typical age range for patients diagnosed with fibromuscular dysplasia? | The majority of patients diagnosed with fibromuscular dysplasia are less than 30-40 years old, including children, and often present with renovascular hypertension or progressive renal insufficiency. | |
alignment | MPX1135 | Describe the treatment plan recommended for this patient's pheochromocytoma. | The recommended treatment involves preoperative alpha blockade with prazosin followed by surgical excision of the tumor, along with follow-up imaging studies and biochemical tests to monitor for potential malignancy or metastasis. | |
alignment | MPX1124 | What are some potential differential diagnoses for this patient, given the presence of periventricular lesions and abnormal signal enhancement near the lateral geniculate body? | Based on the provided information, potential differential diagnoses include multiple sclerosis, Lyme disease, acute disseminated encephalomyelitis (ADEM), sarcoidosis, and vasculitis (such as systemic lupus erythematosus). | |
from caption | MPX2175 | Talk about the condition: | The disease is discussed as: Venous sinus thrombosis is caused by thrombus formation in the dural venous sinuses or cerebral veins. It is an uncommon disorder (2-7 per million) which can have serious complications. Causal factors include local (regional infection, trauma, neoplasm) and systemic (dehydration, hypercoa... |
The MedPix-VQA dataset is a version of the data found at MEDPIX-ClinQA, specifically modified to address an image overlap issue that would result from directl splitting the original dataset. This overlap can lead to a model potentially seeing the same image during both training and validation, potentially leading to bias or data leakage.
The dataset consists of the following columns:
image_id: The ID for each image.mode: The mode or context for the image.case_id: The unique case identifier.question: A textual question related to the image.answer: The corresponding answer to the question.DatasetDict({
train: Dataset({
features: ['image_id', 'mode', 'case_id', 'question', 'answer'],
num_rows: 17420
})
validation: Dataset({
features: ['image_id', 'mode', 'case_id', 'question', 'answer'],
num_rows: 3080
})
})
This dataset is designed for training and evaluating Visual Question Answering (VQA) models in the medical domain. It contains images from MedPix, a well-known medical image database, paired with questions and answers that focus on image interpretation.
If you use this dataset, please cite the original authors:
@misc{siragusa2024medpix20comprehensivemultimodal,
title={MedPix 2.0: A Comprehensive Multimodal Biomedical Dataset for Advanced AI Applications},
author={Irene Siragusa and Salvatore Contino and Massimo La Ciura and Rosario Alicata and Roberto Pirrone},
year={2024},
eprint={2407.02994},
archivePrefix={arXiv},
primaryClass={cs.DB},
url={https://arxiv.org/abs/2407.02994}
}